{
"Npi": {
"NPI": "1750821732",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HUNTINGTON DIAGNOSTICS, INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2726 E FLORENCE AVE",
"SecondLineMailingAddress": "SUITE B",
"MailingAddressCityName": "HUNTINGTON PARK",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "90255-5747",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "310-722-3332",
"MailingAddressFaxNumber": "818-849-6515",
"FirstLinePracticeLocationAddress": "2726 E FLORENCE AVE",
"SecondLinePracticeLocationAddress": "SUITE B",
"PracticeLocationAddressCityName": "HUNTINGTON PARK",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "90255-5747",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "310-722-3332",
"PracticeLocationAddressFaxNumber": "818-849-6515",
"EnumerationDate": "02/24/2017",
"LastUpdateDate": "02/24/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "STRAUSBERG",
"AuthorizedOfficialFirstName": "STUART",
"AuthorizedOfficialMiddleName": "EDWIN",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.O.",
"AuthorizedOfficialTelephoneNumber": "310-722-3332",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QR0200X",
"TaxonomyName": "Radiology Clinic/Center",
"LicenseNumber": "20A3638",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}